阴式子宫切除术特别是非脱垂子宫经阴道切除术,因手术视野小,技术难度较高,容易误伤邻近器官,而未能推广应用。但如能严格掌握指征与反指征,熟悉局部解剖,操作谨慎,副损伤完全可以避免。我院40余年来1200例阴式子宫切除术引起的副损伤极少。据统计1960～1981年期间440例非脱垂子宫经阴道切除术中,膀胱损伤3例,发生率为0.7%;输尿管损伤2例,发生率0.5%;并无直肠损伤。兹对副损伤的发生和防治论述如下。一、膀胱损伤原因有:①宫颈前唇切口过高。一 Vaginal hysterectomy, especially non-prolapsed vaginal hysterectomy, due to small surgical field of vision, high technical difficulty, easy to accidental injury to neighboring organs, but failed to promote the application. However, if strict indications and anti-indications, familiar with the local anatomy, cautious operation, deputy injury can be avoided. More than 40 years in our hospital 1200 cases of vaginal hysterectomy caused minor damage. According to statistics, during the period of 1960 to 1981 440 cases of non-prolapsed uterus vaginal resection, bladder injury in 3 cases, the incidence was 0.7%; ureteral injury in 2 cases, the incidence of 0.5%; no rectal injury. Here is the occurrence and prevention and treatment of deputy injury as follows. First, the reasons for bladder injury are: ① cervical anterior lip incision too high. one